review

SAMPLE QUESTIONS

1. Left ventricular function measure could be measured by a pulmonary artery catheter (Swan Ganz). This is because
1. It provides information about pulmonary resistance
2. It controls the afterload
3. it gives accurate tissue perfussion monitoring
4. it fires impulse for the heart to contract

2. the priority management for MI is
1. morphine sulphate
2. Oxygen
3. Nitroglycerine
4. cardiac monitor

3. Which of the following is true?
1. Semi-lunar valves are close and atrio-ventricular valves are open during ventricular systole
2. The Frank-Starling Law dictates that the more afterload, the more the stroke volume
3. Oxygenated blood flows out the pulmonary arteries and aorta
4. The venous return to the heart may also be considered as the preload

4. Client post angina is about to be discharge. You know that the client needs more health teaching when he states that:
1. “ I know I should exercise more vigorously to avoid it from happening again.”
2. “ I should consult a doctor first before starting an exercise program.”
3. “ I would do less stressful activities so that I may not experience it again.”
4. “ I understand that stable angina is relieved by rest.”

5. Side effects nitroglycerine include all of the following except:
1. throbbing headache
2. bradycardia
3. hypotension
4. tachycardia

6. You take the ABG of the client 30 mins after insertion of ET to check for
1. Placement of the tube
2. Confirmation of obstruction
3. The weaning process
4. Effectiveness of ventilation

7. Lidocaine is ordered after attempting cardioversion because
1. Anesthetics sedates the client
2. Alteration of the nerve impulse
3. To minimize pain of cardioversion
4. Control the client’s restlessness during procedure

8. After giving Lidocaine the client became restless and unmanageable. This indicates
1. Severe hypoxia
2. Side effect of introducing electricity to the body
3. Recurrence of previous mental ilness
4. Lidocaine toxicity
9. you will not give atropine if
1. Increase salivation
2. Pupil > 4mm
3. HR >75bpm
4. Presence of borborygmus sounds

10. watch out for PVC because they may precede V. tach when
1. Occur for more than 4-6 times per minute
2. Occur before every after p wave
3. Shapes are identical but different to a normal QRS complex
4. Occurs without a p wave

11. pulmonary artery catheter is inflated to get
1. Pulmonary artery pressure
2. Central venous pressure
3. Cardiac output
4. Coronary angiography

12. You should prepare what at bedside after pulmonary artery catheter insertion
1. Oxygen
2. Defibrillator
3. Emergency IV line
4. Basin for emesis

13. What is the not a reliable cardiac enzyme
1. Troponin
2. myoglobin
3. lactic dehydrogenase
4. CK MB

14. V fib is managed primarily by
1. Cardiac drugs
2. Cardiopulmonary resuscitation
3. Defibrillation
4. Pacemaker

15. what would you see in ECG of client with pace maker
1. A spike is seen before the QRS complex
2. A spike is seen after the QRS complex
3. There should be no spikes on the ECG
4. The rhythm should go back to normal sinus

16. What statement made by a post pacemaker insertion client indicates need for further information
1. ‘I should notify the doctors and dentists about my pacemaker before undergoing medical procedures’
2. ‘ My batteries could last up to 10 years with change’
3. ‘ I can use televisions and microwaves without experiencing problems’
4. ‘ I should never come in contact with any electrical devices because they may conduct electricity’

17. compression-ventilation ratio of CPR
1. 15:2
2. 1:2
3. 30:2
4. 2:2

18. Right sided heart failure is marked by all except
1. Peripheral edema
2. Pulmonary edema
3. Weight gain
4. Anasarca

19. which is not part of mgt of CHF
1. Wt reduction
2. Alcohol restriction
3. Stop smoking
4. Increase fluid intake

20. IABP is indicated to clients with which of the following
1. Septic shock
2. Post MI
3. DIC
4. Endocarditis

21. before IABP insertion you should do the following except
1. Obtain baseline V/S
2. Attach client to ECG machine
3. Check for allergy to seafoods
4. Insert indwelling urinary catheter

22. after IABP insertion you do which of the following
1. Assessment of proper balloon location by auscultation
2. Obtain chest X-ray
3. Monitor radial pulse
4. Perform passive ROM to affected limb

23. post CABG client report the following conditions except
1. Temperature more than 101°F for 24 hours
2. Suture line is separating
3. Foul smelling drainage from the suture line
4. Pain in the suture line

24. discharge teaching of post CABG client is
1. Use of laxative
2. Let their children sit on their lap
3. Lift anything more than 10lbs for the first 2-3 months
4. Daily walking as exercise gradually increasing with tolerance

25. priority nursing action of post DVT client with black stools
1. Obtain history
2. Assist patient to the comfort room
3. Give supplementary oxygen
4. Notify physician because of possible emergency thoracentesis

26. Major causes of emphysema includes
1. Deficiency in alpha1- antitripsin
2. Deficiency in surfactant
3. Exposure to pollution
4. History of recurrent infection

27. orthopnic position principle is
1. The tongue do not totally block the airway and aspiration of secretions is prevented
2. Compression of the diaphragm by the abdominal organs
3. Allows the expansion of the diaphragm by pulling the abdominal organs towards gravity
4. Allows drainage of secretions after postural drainage

28. while giving supplemental O2 to COPD clients you should
1. Notify physician that this is contraindicated to pt with pulmonary insufficiency
2. Monitor pt’s condition
3. Give oxygen without humidication because pure oxygen is required
4. Advise client to avoid eating while on oxygen therapy due to risk of aspiration

29. how would you instruct your client in collecting sputum
1. ‘collect sputum after eating breakfast to not loose your appetite’
2. ‘collect sputum before going to bed so that you could rest afterwards’
3. ‘ collect sputum and put it in this container and wait until I get from you’
4. ‘collect sputum after you toothbrush and spit it in the container. Do this right after waking up’

30. physiotherapy is done by
1. moderately slap the chest wall
2. performing CPT after waking up before breakfast
3. performing CPT at least two hours after meals
4. performing CPT before meal and after meal

31. which is not a pleural effusion
1. hydrothorax
2. hemothorax
3. pneumothorax
4. empyema

32. CTT is properly placed if there is
1. Fluctuation in the water seal chamber
2. Bubbling of water upon inspiration and expiration
3. No fluctuation noted
4. Tube is attached at the 6^th or 7^th intercostals space

33. CTT client suddenly had SOB and became cyanotic, you should initially
1. Notify physician immediately
2. Check the bottles for detachment of tubes
3. Monitor the client’s RR, depth and breath sounds
4. Check the patient condition and connections

34. Your client’s chest tube was detached from his chest. As his nurse in charge for his care, what would appropriate action would you first do
1. Prevent drying of the membrane by instilling 2-3 drops on saline to his chest then cover with gauze
2. Notify physician immediately
3. Cover the wound with petroleumized gauze
4. Clamp the tube, then notify physician

35. what instruction would you give your client pre thoracenthesis
1. Hold his breath upon insertion of the needle and until the withdrawal of the needle
2. Do not deep breath or cough throughout the procedure
3. Deep breath while inserting the needle to reduce pain
4. Continuously cough after only the needle was inserted to promote drainage of secretions

36. Few hours after thoracentesis, you observed your client has become cyanotic, dyspnic and restless. What would you do first
1. Notify physician
2. Monitor patient vital signs
3. Observe for bleeding
4. Give supplemental oxygen as prescribed

37. To relieve pain and prevent hemorrhage of post tonsillectomy client, he is advise to drink or eat
1. Ice cream
2. Slurpee
3. Toasted bread
4. Hot chocolate

38. epistaxis is manage by
1. Tilt the head up and pinch the cartilage in the bridge of the nose
2. Bow forward and pinch the cartilage in the bridge of the nose
3. Placed in semi fowlers and pinch the cartilage in the bridge of the nose
4. Placed in sims position and pinch the cartilage in the bridge of the nose

39. Treatment for clients with PTB includes the following medications
1. Ethambutol and digoxin
2. Penicillin and rifanpicin
3. erythromycin and isoniazid
4. streptomycin and isoniazid

40. include in health teaching that rifampicin causes
1. All secretions may secrete rifampicin
2. Urine may turn orange
3. Breast milk may secrete the drug thus breastfeeding is contraindicated
4. Sweat may be orange tinge

41. . You know that PTB client did not understood his regimen if he stated that
1. ‘ I will no longer be contagious few days after starting my medications’
2. ‘After three months of clear cough and sputum, I can already stop taking my medications’
3. ‘I will need to take these medications everyday for half a year’
4. ‘ it is necessary not to miss my daily medication’

42. These are types of asthma except
1. status asthmaticus
2. allergic
3. intrinsic
4. mixed

43. Status asthmaticus is suspected to a pt if he is
1. Experiencing the attack for more than an hour
2. Having recurrent attack
3. Having an attack after a strong emotion
4. No longer responding to conventional therapy

44. Client with Fe supplements should say the ff except
1. ‘I should take the supplements with food’
2. ‘I should take the supplements on empty stomach’
3. ‘It is better if I take the supplements with citrus juices’
4. ‘It is normal to have black stools while on supplements’

45. how to do Homan’s sign
1. Elevate the leg, apply tourniquet then instruct client to stand before releasing the tourniquet
2. Have the client lie down then flex the neck
3. Have the client lie down then dorsiflex the foot
4. Have client lie down. Place your fingertips over area of umbilicus. Feel the pulsation.

46. Thromboangitis obliterans is also called
1. Kawasaki’s Disease
2. Buerger’s Diseases
3. Giant Cell Arteritis
4. Raynaud’s Disease

47. which is not included in health teaching with HPN clients
1. Never adjust or discontinue dosage without advice
2. Never skip dosage
3. Always report untoward effects
4. Double dose if symptoms persists

48. Nsg Mgt for anti thrombolytics stocking
1. It should be removed at least every 8 hours for 20-30 mins
2. It should never be removed until the end of therapy
3. It should be changed every 3 days
4. It should only be worn for 20 mins every 8 hours

49. care for buerger’s is all but what
1. foot care
2. elevate head of the bed 3-6 inches
3. elevate foot to prevent venous pooling
4. do not elevate affected limb

50. teach client with VV all of the ff except
1. do not cross legs while sitting
2. do not stand for a long period of time
3. elevate legs
4. massage painful legs

51. pulmonary embolism is caused by all except
1. Femur fracture
2. Pregnancy
3. Use of oral contraceptives
4. Congestive heart failure